Yıl: 2009 Cilt: 19 Sayı: 4 Sayfa Aralığı: 417 - 422 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Gliosarcoma with chondroblastic osteosarcomatous differentation: Report of two case with clinicopathologic and immunohistochemical features

Öz:
Gliosarkom, bifazik histolojik patern ile karakterize santral sinir sisteminin nadir tümörüdür. Amacımız, kondroblastik osteosarkomatöz farklılaşmayla birlikte olan iki gliosarkom olgusunun klinik, morfolojik ve immünhistokimyasal özelliklerini tanımlamak ve onların patogenetik mekanizmalarını tartışmaktır. Olgu 1: Anaplastik ependimom nedeniyle parietal kraniotomiye gitmiş 52 yaşında erkek hastadır. Olguya postoperatif radyoterapi ve kemoterapi verildi. İlk operasyondan sonra, dördüncü, yedinci ve onuncu aylarda rekürrensden dolayı tümör için ilave rezeksiyonlar yapıldı. Sonuncu tümör rezeksiyonundan sonra hasta exitus oldu. Postmortem biyopsinin histopatolojik incelemesinde, hem gliomatöz hem de sarkomatöz komponentler içeren bifazik morfolojik patern sergileyen neoplazi gözlendi. Olgu 2: Histolojik olarak, sarkomatöz ve glial komponent sergileyen gliosarkom tanısı alan sağ frontal lob kitlesi olan 69 yaşında erkek hastadır. İmmünhistokimyasal özellikleri genelde ilk olgununkine benzemekte, fakat p53 protein ile diffüz nükleer reaksiyon her iki komponentte saptandı. “Kondroblastik osteosarkom özellikleri ile beraber olan gliosarkom” olarak oldukça nadir histopatolojik tanılı iki olgu rapor ettik.
Anahtar Kelime:

Konular: Cerrahi

Kondroblastik osteosarkomatöz farklılaşmayla beraber olan gliosarkom: Klinikpatolojik ve immünhistokimyasal özellikleri ile iki olgu sunumu

Öz:
Gliosarcoma is a rare tumor of the central nervous system characterized by a biphasic histological pattern. Our objective is to describe clinical, morphological and immunohistochemical features of two cases of gliosarcoma with chondroblastic osteosarcomatous differentiation and to discuss its pathogenetic mechanisms. Case 1: A52- year-old male patient underwent parietal craniotomy due to anaplastic ependymoma. The case had radiotherapy and chemotherapy postoperatively. After the first operation, additional resections were performed for tumor because of recurrences at the fourth, seventh and tenth months. The patient died after the last tumor resection. Histopathologic examination of the postmortem biopsy revealed neoplasm displaying a biphasic morphologic pattern including both gliomatous and sarcomatous components. Case 2: The case was a 69-year-old male patient with a right frontal lobe mass histologically diagnosed as gliosarcoma displaying sarcomatous and glial components. Immunohistochemical features were similar to those of the first case in general, but diffuse nuclear reaction with p53 protein was detected in both components. We report two cases with an extremely rare histopathologic aldiagnosis of “gliosarcoma with features of chondroblastic osteosarcoma”.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA Barut F, KANDEMİR O, Özdamar Ş, Gul S, BEKTAŞ S, DOĞAN GÜN B, Bahadir B (2009). Gliosarcoma with chondroblastic osteosarcomatous differentation: Report of two case with clinicopathologic and immunohistochemical features. , 417 - 422.
Chicago Barut Figen,KANDEMİR Onak Nilüfer,Özdamar Şükrü Oğuz,Gul Sanser,BEKTAŞ Sibel,DOĞAN GÜN Banu,Bahadir Burak Gliosarcoma with chondroblastic osteosarcomatous differentation: Report of two case with clinicopathologic and immunohistochemical features. (2009): 417 - 422.
MLA Barut Figen,KANDEMİR Onak Nilüfer,Özdamar Şükrü Oğuz,Gul Sanser,BEKTAŞ Sibel,DOĞAN GÜN Banu,Bahadir Burak Gliosarcoma with chondroblastic osteosarcomatous differentation: Report of two case with clinicopathologic and immunohistochemical features. , 2009, ss.417 - 422.
AMA Barut F,KANDEMİR O,Özdamar Ş,Gul S,BEKTAŞ S,DOĞAN GÜN B,Bahadir B Gliosarcoma with chondroblastic osteosarcomatous differentation: Report of two case with clinicopathologic and immunohistochemical features. . 2009; 417 - 422.
Vancouver Barut F,KANDEMİR O,Özdamar Ş,Gul S,BEKTAŞ S,DOĞAN GÜN B,Bahadir B Gliosarcoma with chondroblastic osteosarcomatous differentation: Report of two case with clinicopathologic and immunohistochemical features. . 2009; 417 - 422.
IEEE Barut F,KANDEMİR O,Özdamar Ş,Gul S,BEKTAŞ S,DOĞAN GÜN B,Bahadir B "Gliosarcoma with chondroblastic osteosarcomatous differentation: Report of two case with clinicopathologic and immunohistochemical features." , ss.417 - 422, 2009.
ISNAD Barut, Figen vd. "Gliosarcoma with chondroblastic osteosarcomatous differentation: Report of two case with clinicopathologic and immunohistochemical features". (2009), 417-422.
APA Barut F, KANDEMİR O, Özdamar Ş, Gul S, BEKTAŞ S, DOĞAN GÜN B, Bahadir B (2009). Gliosarcoma with chondroblastic osteosarcomatous differentation: Report of two case with clinicopathologic and immunohistochemical features. Turkish Neurosurgery, 19(4), 417 - 422.
Chicago Barut Figen,KANDEMİR Onak Nilüfer,Özdamar Şükrü Oğuz,Gul Sanser,BEKTAŞ Sibel,DOĞAN GÜN Banu,Bahadir Burak Gliosarcoma with chondroblastic osteosarcomatous differentation: Report of two case with clinicopathologic and immunohistochemical features. Turkish Neurosurgery 19, no.4 (2009): 417 - 422.
MLA Barut Figen,KANDEMİR Onak Nilüfer,Özdamar Şükrü Oğuz,Gul Sanser,BEKTAŞ Sibel,DOĞAN GÜN Banu,Bahadir Burak Gliosarcoma with chondroblastic osteosarcomatous differentation: Report of two case with clinicopathologic and immunohistochemical features. Turkish Neurosurgery, vol.19, no.4, 2009, ss.417 - 422.
AMA Barut F,KANDEMİR O,Özdamar Ş,Gul S,BEKTAŞ S,DOĞAN GÜN B,Bahadir B Gliosarcoma with chondroblastic osteosarcomatous differentation: Report of two case with clinicopathologic and immunohistochemical features. Turkish Neurosurgery. 2009; 19(4): 417 - 422.
Vancouver Barut F,KANDEMİR O,Özdamar Ş,Gul S,BEKTAŞ S,DOĞAN GÜN B,Bahadir B Gliosarcoma with chondroblastic osteosarcomatous differentation: Report of two case with clinicopathologic and immunohistochemical features. Turkish Neurosurgery. 2009; 19(4): 417 - 422.
IEEE Barut F,KANDEMİR O,Özdamar Ş,Gul S,BEKTAŞ S,DOĞAN GÜN B,Bahadir B "Gliosarcoma with chondroblastic osteosarcomatous differentation: Report of two case with clinicopathologic and immunohistochemical features." Turkish Neurosurgery, 19, ss.417 - 422, 2009.
ISNAD Barut, Figen vd. "Gliosarcoma with chondroblastic osteosarcomatous differentation: Report of two case with clinicopathologic and immunohistochemical features". Turkish Neurosurgery 19/4 (2009), 417-422.